Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.95 / $67.95 / $73.40	Facility	26	$67.95	$67.95	$73.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.54 / $122.90 / $406.00	Professional		$105.54	$122.90	$406.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.25 / $67.48 / $101.60	Professional	26	$59.25	$67.48	$101.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $100.86 / $100.86	Professional		$100.86	$100.86	$100.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $136.97 / $188.83	Professional		$99.52	$136.97	$188.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.37 / $74.87 / $100.05	Professional	26	$55.37	$74.87	$100.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $150.12 / $212.87	Professional		$105.34	$150.12	$212.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.16 / $83.86 / $122.33	Professional	26	$58.16	$83.86	$122.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $136.06 / $186.93	Professional		$0.85	$136.06	$186.93
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $73.56 / $102.33	Professional	26	$0.45	$73.56	$102.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $106.49 / $177.47	Professional		$0.85	$106.49	$177.47
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.45 / $66.88 / $100.32	Professional	26	$0.45	$66.88	$100.32
United Facility/Professional Professional Modifier Low / Median / High Price $110.08 / $147.28 / $218.40	Professional		$110.08	$147.28	$218.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.44 / $84.48 / $126.72	Professional	26	$61.44	$84.48	$126.72